| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $90.00 | $228.70 | $228.70 | |
Pacific Source
| Facility | $20.34 | $20.34 | $82.43 |
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, for intradermal use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $90.00 | $228.70 | $228.70 | |
Pacific Source
| Facility | $20.34 | $20.34 | $82.43 |